politically articulate. they are involved if not with money, certainly with vote. members of congress pay close attention to them. medicaid is an illustration from the state of illinois and means the following. it is the only health insurance for one out of three children in illinois. it pays for more than half of the births in illinois. that is not even half of the cost of medicaid in illinois. 60% of the cost goes to take care of the elderly, frail, and disabled. many of them in institutional settings, flat broke. all they have is social security, medicare, and medicaid. when the ryan budget suggests block granting medicaid back to the states, and essentially cutting the money by 37%, my question to him and people on that side is, which group do you want to reduce coverage by by one-third and what will the consequences be?